Individual
DR. JUDITH GITA RAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4000 HIGHLAND RD STE 130, WATERFORD, MI 48328-2168
(248) 383-1030
Mailing address
4000 HIGHLAND RD, SUITE 130, WATERFORD, MI 48328
(248) 738-9166
(248) 738-9188
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301044221
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301044221
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301044221
PHYSICIAN LICENSE
MI
Enumeration date
11/01/2006
Last updated
05/31/2019
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